“The Fellowship allows participants to take a giant step back and reexamine and rethink their fundamental assumptions and approaches…”
Georgia Peirce
Director of Communications
Patient Care Services
Massachusetts General Hospital
“The quality of the program faculty, educational materials, exercises, and the talents of the other fellows eliminated ambiguity and shed light on challenges inherent in planning and implementing an effective and measurable cultural competence program.”
Rita Adeniran, RN, MSN, CMAC
Global Nurse Ambassador
The Hospital of the University of Pennsylvania/
School of Nursing
The Patient Safety Leadership Fellowship
Enhancing patient safety requires a systemic approach—commitment, collaboration, and communication across the many different layers of the health care continuum. Creating a culture of safety—an environment that supports candid discussion of errors, their causes, and ways to prevent them—is a vital step in ensuring that an organization focuses on patient safety and quality improvement.
Areas of study in the Patient Safety Leadership Fellowship include:
- The Business Case for Creating Cultures of Safety
Understand the relationship of safety to quality, cost and governance; benchmark with aviation and other high-risk industries. Explore how to measure both the clinical and organizational value which can contribute to making the business case.
- Leadership, Facilitation and Complexity
Build techniques and other skill sets for innovation and adaptation necessary for advancing patient safety in a multidisciplinary environment. Understand practical methods on creative adaptability and social inventiveness from people facing complex challenges.
- Reliable Design & Practice
Understand how reliable design can help to mitigate human factors related defects. Examine how hazards and at risk behavior can lead to injury and harm, and why policy change and education alone will not improve reliability of care. Learn how to redesign non-catastrophic practices using a 3-step process that will help improve reliability in practice.
- The Path to a Culture of Safety
Learn some of the underlying factors that impede health care from moving forward towards a culture of high reliability. Explore diverse subcultures within the layers of a health care system and the tensions that exist within and between them. Reflect upon your own personal mastery and effectiveness of your teams and organization.
- Disclosure and Reporting
Focus on how to effectively release information about errors (reporting), how to share information with key stakeholders such as patients (disclosure), and how to make information available to key stakeholders throughout the system (transparency). Identify effective methods with working with the media in the aftermath of an error and as a proactive component of patient safety strategy.
The Cultural Competence Leadership Fellowship
Health care organizations today struggle to find ways to better serve their diverse patient populations and address the issues that these changes create. For example, how can we reduce clinical disparities? Many health care organizations are currently searching for new strategies to solve this problem. Is it a matter of policies and procedures? Do we need to engage more community groups in health care services planning and delivery? What else should we be looking at? As one hospital CEO explains, “Without continuing attention to our cultural competencies and skills, we won’t be able to continue to serve our communities very effectively and eventually we’ll be out of business.”
Cultural Competence Leadership Fellowship areas of study include:
- Frameworks for racial and ethnic disparities and cultural competence
- Integrating data and assessment into disparities planning
- Experiential lessons in diversity practice and workforce development
- Evaluation and measurement: essential tools to advance and sustain cultural competence
The course work includes self-study modules and three face-to-face meetings, designed to support each Fellow’s Action Learning Project.
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